Anatomy and physiology of pregnancy

Question 1

stretch marks on trunk and thighs R/T stretching of connective tissue

Answer 1

Striae Gravidarum

Question 2

maternal observation of FM –> 18-20 weeks gestation (nulliparous) or 14-16 weeks (multiparous)

Answer 2

Quickening

Question 3

softening of cervical tip in a mom unscarred cervix (6th week)

Answer 3

Goodell’s Sign

Question 4

a daily pigmented from the umbilicus to the pubic area

Answer 4

Linea Nigra

Question 5

Fundal height decreased as fetus descends into the pelvis in prep for delivery (38-40 weeks)

Answer 5

Lightening

Question 6

softening decreased thinning of lower segment of uterus – about the 6th week (probable sign of pregnancy)

Answer 6

Hegar’s Sign

Question 7

uterus changes:

Answer 7

size
shape
position

Question 8

____________ height an important measure of fetal well being

Answer 8

fundal

Question 9

fundal height measurements help to set. _________ ____ of fetus

Answer 9

gestational age

Question 10

Fundal height: During 2nd and 3rd trimester (18-30 weeks) fundal height in CM approximately =

Answer 10

fetal age in weeks + 2 CM

Question 11

Fundal height: _________ weeks hallway between pubis and umbilicus

Answer 11

16

Question 12

Fundal height: 20-22 weeks approximately at the _____________

Answer 12

umbilicus

Question 13

Signs of pregnancy stages:

Answer 13

presumptive
probable
positive

Question 14

presumptive stages:

Answer 14

3-4 wk = breast change
4 wk = arrorrhea
4-14 wk = N/V
6-12 wk = urinary frequency
12 wk = fatigue
16-20 wk = quickening

Question 15

probable stages:

Answer 15

5 wk = Goodell sign
6-8 wk = Chadwick sign
6-12 wk = Hegar sign
4-12 wk = + result pregnancy test (serum)
6-12 wk = + result pregnancy test (urine)
16 wk = Braxton hicks contraction
16-28 wks = ballottement

Question 16

possible stages:

Answer 16

5-6 wk = visualization of fetus (real time ultrasound)
6 wk = FHTS detected by ultrasound
16 wk = visualization of fetus by radiographic study
8-17 wk = FHTS detected by doppler ultrasound stethoscope
17-19 wk = FHT detected by fetal stethoscope
19-22 wk = FM palpated
late pregnancy = FM visible